When Lady Gaga’sdocumentary, Gaga: Five Foot Two was released in September 2017, the world learned that the Grammy winner has fibromyalgia, a condition that causes immense physical pain. But at the same she shared this in the documentary, she also shared footage of her show-stopping Super Bowl performance last year when, despite any pain, she pulled off an all-American show of strength and talent. Gaga rode into 2018 with yet another heartfelt performance at the 2018 Grammy Awards.

Gaga, who had two nominations for best pop album for Joanne and best solo performance for “Million Reasons,” opened with her album’s titular song, “Joanne.” Wearing white, with angel wings draped over a white piano, she said, “This is for my father’s late sister, Joanne. This is for love and compassion, even when you can’t understand.”

Before pivoting to “Million Reasons,” Gaga, an outspoken sexual assault survivor, stopped to give a nod to the current moment of the Time’s Up and Me Too movements, to say “Time’s up.”

The singer had quite a year with her Joanne world tour. She stopped her tour in November to accept an American Music Award, where she gave an emotional speech.

“Thank you so much. I have the best fans in the whole world,” she said. “I am so lucky. You just remember that if you feel different or if you feel not understood, don’t you dare give up on who you are. You fight like hell for what you believe in. I love you.”

Get Vanity Fair’s Cocktail Hour

Our essential brief on culture, the news, and more. And it's on the house.